Dr. Nirmal Guragain, MD
1001 Towson Ave, Fort Smith, AR 72901 • +1-548-555-4117
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Fort Smith Percentiles
NPI #1144699984 • CBSA Regional • Hospitalist
Dr. Nirmal Guragain, MD (NPI #1144699984) practices Hospitalist in Fort Smith, AR (72901) with sub-specialty concentration in 6 Active CMS HCPCS Codes, recording 1,105 annual CMS services across 347 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Fort Smith percentile) (-0.28σ vs AR state mean, 57.14th statewide percentile).
Dr. Guragain's longitudinal care intensity (3.2 billed units per patient across 347 individuals) centers on 99214 (497 annual units) and 99213 ($102–$139 cash range).
At 1001 Towson Ave (72901), Dr. Nirmal Guragain, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.93/5 bedside rating).
Spanning 27 years of clinical practice following 1999 graduation from medical training, Dr. Nirmal Guragain integrates 6 Active CMS HCPCS Codes diagnostics for Fort Smith metro patients.
Compared against Fort Smith, AR Hospitalist peers
1,105 annual services across 347 beneficiaries
Standard deviations from AR Hospitalist mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 497 | 50th | $133 – $182 |
| 99213 | Established Preventive & Chronic Care Visit | 287 | 54th | $102 – $139 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 144 | 46th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 111 | 52th | $156 – $214 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 66 | 51th | $185 – $254 |
Are you Dr. Nirmal Guragain? Embed your Official DotMD Verification Badge (0-JS SVG)
Paste this lightweight SVG snippet onto your clinic bio page in Fort Smith, AR:
<a href="https://dotmd.com/doctors/nirmal-guragain-md-fort-smith-ar-1144699984" title="Dr. Nirmal Guragain, MD - Verified CMS Utilization on DotMD"><img src="https://dotmd.com/badges/npi/1144699984.svg" alt="Dr. Nirmal Guragain Hospitalist Badge" width="280" height="72" /></a>
Dr. Nirmal Guragain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guragain National Provider Identifier | NPI #1144699984 (MD) | CMS NPPES Registry (72901) |
| Dr. Guragain Fort Smith CMS Volume Rank | 50.00th Pct (1,105 CMS svcs; Z -0.277σ) | CMS Medicare Part B (AR Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fort Smith, AR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
Ask our AI Specialists anything about Dr. Nirmal Guragain
Other High-Volume Hospitalist Specialists in Fort Smith, AR
Ranked strictly by CMS Medicare volumeDr. Guragain Waiting-Room Q&A & Patient Experience Logs
Anonymous patient-submitted wait times, cash visit fees, and bedside manner discussions in Fort Smith, AR.
Share your self-pay visit cost and lobby wait time—no account, email, or IP stored.
Filter Dr. Nirmal Guragain community threads and patient logs by age, biological sex, dosage, and treatment duration.